Brittney A Wallace, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APRN.CRNA.16674 Issued in OH

Practice address

3535 Southern Blvd
Kettering, OH 45429-1221

Phone

(937) 293-8228

Fax

(937) 293-8229

NPI assigned

Feb 12, 2013

Last updated

Dec 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apa Solutions, LLCGroup PAC ID 0042604423, 5 clinicians

Cable Sleep LLCGroup PAC ID 2567892268, 6 clinicians

Arlington Anesthesia Partners LLCGroup PAC ID 7618344698, 91 clinicians

Buckeye Anesthesia Services and Consultants LLCGroup PAC ID 2668367376, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wilson Memorial Hospital Hospital, Sidney, OH, CCN 360013
• Institute for Orthopaedic Surgery Hospital, Lima, OH, CCN 360263

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apa Solutions, LLC

  • Certified Registered Nurse Anesthetist
  • Lebanon, OH
  • NPI 1881368520

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Arlington Anesthesia Partners LLC

  • Anesthesiology Physician
  • Circleville, OH
  • NPI 1578209342
  Medicare reassignment Care Compare group NPD
• Buckeye Anesthesia Services & Consultants LLC

  • Anesthesiology Physician
  • Lima, OH
  • NPI 1225079270
  Medicare reassignment Care Compare group NPD
• Cable Sleep LLC

  • Certified Registered Nurse Anesthetist
  • Lima, OH
  • NPI 1487293866

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Sandusky Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Circleville, OH
  • NPI 1770907859

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mary Rutan Hospital

  dba Mary Rutan Jackson Center Family Care

  • Rural Health Clinic/Center
  • Jackson Center, OH
  • NPI 1528806510
  NPD
• Mary Rutan Hospital

  • General Acute Care Hospital
  • Bellefontaine, OH
  • NPI 1548254931
  NPD
• Mary Rutan Hospital

  dba Mary Rutan Hospital-Physicians

  • General Practice Physician
  • Bellefontaine, OH
  • NPI 1891997169
  NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Mary Rutan Hospital

  dba Mad River Family Practice

  • Family Medicine Physician
  • West Liberty, OH
  • NPI 1003875949
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shelby County Memorial Hospital Association Inc.

  dba Wilson Health

  • General Acute Care Hospital
  • Sidney, OH
  • NPI 1639174204
  Care Compare affiliation
• West Central Ohio Group LTD.

  dba Dba Institute for Orthopaedic Surgery

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1952385221
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1053650911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932759",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930015",
            "telephone_number": "800-731-0751",
            "fax_number": "317-614-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BLVD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291221",
            "telephone_number": "937-293-8228",
            "fax_number": "937-293-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "BRITTNEY",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024170589",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.16674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #07256)
• Walgreen Co (Walgreens #04639)
• Cha ' Tayvia Lynn Walker
• Megan Beth Walker, MS, RN, CPNP
• Anthony Chase Wallace
• Walnut Creek Al Opco LLC (Walnut Creek Care Community)
• Phyllis Kuehnl Walters, PHD
• Rebekah May Wang-Cheng, MD
• Brandon Demarco Ward
• Julia Ward, PT, DPT

• Certified Registered Nurse Anesthetist in Kettering, OH
• Providers in Kettering, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.